The Effectiveness of Interventions Aimed at Reducing Anxiety in Health Care Waiting Spaces

Biddiss, Elaine; Knibbe, Tara Joy; McPherson, Amy C.

doi:10.1213/ane.0000000000000294

Cited by 62 publications

(45 citation statements)

References 66 publications

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“…Furthermore, since waiting spaces were perceived by many not to be engaging, playing calming music or nature sounds in waiting rooms may be a quick and easy intervention to benefit patients, even while other types of additions are being developed to enhance the space. This kind of audio is well-demonstrated to decrease anxiety in waiting patients [4,11].…”

Section: Discussionmentioning

confidence: 97%

Waiting Room Education in a Community Health System: Provider Perceptions and Suggestions

2016

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The increasing burden of chronic diseases in the United States presents a major challenge to the nation's primary care systems, so improving the efficacy and efficiency of patient education is an important goal. Understanding the current perspectives, practices, and needs of primary care providers should guide innovation towards this end. As a part of the authors' ongoing quality improvement work, a short internet survey was an effective method of enhancing this understanding in one health care system. With a response rate of 24.6 %, the survey revealed that primary care waiting rooms in the health system studied are not conceived of or used by providers as spaces to engage patients in health education. To change this, providers suggested using both printed and technological methods for delivering health information, primarily related to medications, diabetes, and healthy lifestyle practices. Common barriers to improvement cited by providers included diverse language and literacy backgrounds in the patient population, as well as difficulty sustaining change due to infrastructural and administrative barriers. These results suggest steps for development, implementation, and investigation of new educational interventions for patients in the local primary care context.

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Section: Discussionmentioning

confidence: 97%

Waiting Room Education in a Community Health System: Provider Perceptions and Suggestions

2016

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“…17 It has continually demonstrated efficacy in easing pain and anxiety in a wide variety of environments and various potentially stressful procedures. 18,19 Indeed, combined audio and visual distraction techniques have demonstrated strong utility in lowering pain and anxiety levels through decreased salivary cortisol levels.…”

Section: Discussionmentioning

confidence: 99%

Trained and dedicated staff appears to be the main factor in decreasing anxiety and improving overall satisfaction during urodynamic testing: A prospective, randomized trial

Khavari

Tran³

et al. 2016

CUAJ

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Introduction: We sought to determine whether listening to patientselected music during urodynamic study (UDS) reduced pain and anxiety while increasing overall patient satisfaction and willingness to repeat the procedure.Methods: Fifty-one (51) patients who underwent UDS from March to July 2014 were randomized into two groups: Group 1 with patient-selected music during the procedure (n=27) and Group 2 without music (n=24). Standard multichannel filling cystometry was performed. Anxiety was self-assessed using the State Trait Anxiety Inventory, while overall pain, satisfaction, and willingness to undergo the procedure again were self-measured using a visual analogue scale.Results: Demographic characteristics and reasons for testing were similar between the two groups. The state score for Groups 1 and 2 were 27.04 and 29.5, respectively (p=0.3225) and 31.78 and 33.86, respectively (p=0.4970) for the trait score. The mean pain scores were 1.04 and 1.57, respectively (p=0.2047); the mean satisfaction scores were 0.65 and 0.52, respectively (p=0.8169); and the scores for willingness to undergo the procedure again were 0.77 and 0.74, respectively (p=0.9442). While there were no significant differences between the two groups in anxiety and satisfaction scores, pain, and willingness to undergo the procedure again, both groups commented on the nurse as the most important factor in their overall comfort.Conclusions: Music during UDS did not appear to lower pain and anxiety, nor increase overall satisfaction and willingness to repeat the procedure. The most important aspect in alleviating patients’ pain and anxiety was the person actually performing the testing, highlighting the importance of having trained and dedicated staff.

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“…However, due to side effects, drug interactions, after sedation observation time required, and challenging logistic issues in outpatient settings, other non-pharmacological techniques have been tested in the past years [5]. Music is widely used to help individuals to relax and divert their attention from stressful situations [8].…”

Section: Discussionmentioning

confidence: 99%

A Case Report on Lamotrigine Complications and Review of the Literature

Pirau¹,

F²

2018

J Hosp Med Manage

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Objective: To evaluate the impact of music on the level of anxiety in infants between 0-3 years during an ear examination. Study design:A randomized controlled trial between May 2012 and June 2013 at the Emek Medical Center, Afula, Israel. The study included 97 infants aged 0 to 3 years who were referred to the ear nose and throat (ENT) clinic.Infants in the interventional group listened to music during a standard ear examination, while infants in the non-interventional group did not. Following the examination, the investigator filled out a FLACC (Face, Legs, Activity, Cry, Consolability) scale questionnaire aimed at assessing the anxiety level of the infant during the examination. Results:The anxiety levels in the interventional group were statistically significantly lower than those in the non-interventional group.According to the FLACC values a statistically significant correlation was found between listening to music during the ear examination and low levels of anxiety in the girls sub-group (p<0.001); in the sub-group of infants aged 1-2 years only (p<0.001); and only in the group of children whose parents have attained higher education. Conclusions:Music was shown to reduce levels of anxiety in infants aged 0-3 years during an ear examination by an ENT physician. The sub-groups in which music was most effective were girls, infants aged 1-2 years, Hebrew speaking families and parents with a higher education. No correlation was found between the parental and child anxiety.

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The Effectiveness of Interventions Aimed at Reducing Anxiety in Health Care Waiting Spaces

Cited by 62 publications

References 66 publications

Waiting Room Education in a Community Health System: Provider Perceptions and Suggestions

Waiting Room Education in a Community Health System: Provider Perceptions and Suggestions

Trained and dedicated staff appears to be the main factor in decreasing anxiety and improving overall satisfaction during urodynamic testing: A prospective, randomized trial

A Case Report on Lamotrigine Complications and Review of the Literature

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